Pablo underwent a major surgery a few months ago where certain portions of his stomach were surgically removed. Following the surgery, Pablo developed a form of anemia and started experiencing weakness and a "pins and needles" sensation in certain parts of his body. His doctor advised him to take monthly injections of cobalamin for the rest of his life. Based on the information provided in this scenario, Pablo was most likely diagnosed with ________.
A. normocytic anemia
B. microcytic hypochromic anemia
C. aplastic anemia
D. pernicious anemia
Answer: D
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Andrea, the charge nurse, spoke to the director of nursing about one of the staff nurses having a crisis. The nurse suggested a crisis intervention group to the staff nurse. Crisis intervention groups are successful because:
A. The crisis intervention worker is a psychologist and understands the presenting behavior patterns. B. They supply a workable solution to the patient's problem. C. The patient is encouraged to share with others about personal problems. D. The patient is assisted to develop new insights and return to the precrisis phase.
A client being treated with paroxetine (Paxil) 50 mg po daily for depression reports to the clinic
nurse that he took a few extra tablets earlier in the day and "feels bad" now. The nurse should assess (more than one answer may be correct) A. vital signs. B. for increased suicidal ideation. C. for presence of abdominal pain and diarrhea. D. for hyperactivity or feelings of restlessness.
The home health nurse observes that there is still about half a month's supply of Glucophage in the medicine bottle at the end of the month. What question would be the most appropriate for the nurse to ask?
a. "Do you know what inadequately treated diabetes can do?" b. "Have you told your physician you are not taking your prescription?" c. "Are you trying to make the medication stretch for 2 months?" d. "Why are you being so noncompliant?"
A client who is in her third trimester is to undergo an amniocentesis. The nurse understands that the rationale for testing at this point is to determine:
A) Chromosomal abnormalities B) Anemia secondary to Rh isoimmunization C) Fetal lung maturity D) Structural abnormalities